Individual
ELIZABETH MAY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10710 CHARTER DR, SUITE G030, COLUMBIA, MD 21044-3128
(443) 546-1300
Mailing address
PO BOX 64620, BALTIMORE, MD 21264-4620
(410) 328-6080
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D75554
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D75554
MD PROFESSIONAL LICENSE
MD
Enumeration date
06/01/2008
Last updated
07/22/2013
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